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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

J. THOMAS STACK, PH.D., PA

Active Organization

J. THOMAS STACK, PH.D., PA is a Mental Health Clinic organization located in JACKSONVILLE, North Carolina. NPI 1962519165 is currently active in the NPPES registry. Verify at CMS.

Mental Health Clinic · JACKSONVILLE, NC

Registration Details

NPI Number
1962519165
Provider Type
Organization
NPI Issued
Aug 24, 2006 (19.953080412267 yrs)
Last Updated
Aug 22, 2020
License
0321 (NC)

Practice Information

Address
2444 COMMERCE RD
JACKSONVILLE, NC, 285467560
Browse NC providers · Browse ZIP 28546
Phone
9103475511
Fax
9103463970
Primary Specialty
Mental Health Clinic
261QM0801X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.